ADELINA G. MEADOWS (MD) – Pediatric Endocrinology Physician, NPI 1124375969

ADELINA G. MEADOWS (MD) is a healthcare provider. based in Tyler, Texas. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 01074060A (IN). The NPI Number for ADELINA G. MEADOWS (MD) is 1124375969

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
ADELINA G. MEADOWS (MD)
NPI
1124375969
Phone
(903) 606-3630
Address
1120 Front St
Enumeration Date
11 August 2012
Last Update Date
18 March 2024

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9035953942
Graduation Year
2008 (18 years ago)
PAC ID
9234359878
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20171004002841
Address ID
TX757011833TY706XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

2,256 PEDIATRIC MEDICINE in TX

Provider Addresses for ADELINA G. MEADOWS (MD)

  • 1120 Front St

    Tyler, TX 75702

    Phone: (903) 606-3630

    Type: Location

  • 7950 W Jefferson Blvd

    Suite 210

    Fort Wayne, IN 468044140

    Phone: (260) 435-7427

    Fax: (260) 435-6947

    Type: Location

  • PO BOX 846098

    DALLAS, TX 752846098

    Phone: (903) 324-6400

    Type: Mailing

  • 706 TURTLE CREEK DR

    TYLER, TX 757011833

    Phone: (903) 595-3942

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $236.

Total Amount is formed as General ($236) + Research ($0) + Ownership ($0) = $236.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($150).

Total Amount

$236

General + Research + Ownership

Payments

8

Total payment records

General Amount

$236

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171004002841IPediatric MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75702)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for ADELINA G. MEADOWS (MD) in the U.S.?
In the U.S., ADELINA G. MEADOWS (MD) is identified by NPI 1124375969.
Quick check: is ADELINA G. MEADOWS (MD) active?
Public NPPES data shows ADELINA G. MEADOWS (MD) with an active NPI status right now.
What type of care does ADELINA G. MEADOWS (MD) provide?
ADELINA G. MEADOWS (MD)'s profile centers on Pediatric Endocrinology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to ADELINA G. MEADOWS (MD)?
The directory associates ADELINA G. MEADOWS (MD) with Tyler, Texas. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

DR. NAILA YUNUS SOORTY (MD)

Pediatric Endocrinology Physician
Red Oak Drive, Houston County, Texas, United States
NPI: 1285638676

PROF. ROBERT JEAN JR. FERRY (M.D.)

Pediatric Endocrinology Physician
15303 HUEBNER RD STE 15
NPI: 1982697561
Academic Education Center (AEC), 4800, Alberta Avenue, El Paso, El Paso County, Texas, 79905, United States
NPI: 1417940982

SURENDRA VARMA (M.D.)

Pediatric Endocrinology Physician
Lubbock Post Office, 1515, Crickets Avenue, Lubbock, Lubbock County, Texas, 79402, United States
NPI: 1851387393

MICHAEL BOURGEOIS (M.D.)

Pediatric Endocrinology Physician
Lubbock Post Office, 1515, Crickets Avenue, Lubbock, Lubbock County, Texas, 79402, United States
NPI: 1457342842

DR. MARY JANE WRAY (M.D., PHD)

Pediatric Endocrinology Physician
111 S Laurel Ave
NPI: 1588633499